Cyclotymia: symptoms and treatment
Cyclotymia is a mental affective disorder, which is a kind of manic-depressive psychosis, and is characterized by alternations of periods of emotional arousal and depression. In contrast to manic-depressive psychosis, with cyclothymia, mood swings are less pronounced, and the main feature of the disorder is periodicity. Thus, in a pathology such as cyclothymia, either periods of euphoria or depression can be repeated, but alternating periods are also observed.
Predisposed to a woman’s disease, with a peak incidence falls on the autumn or spring period. Mostly, antidepressants are used to treat the disease, in particular Finlepsin. With a rapid alternation of mood changes, lithium preparations are indicated. But, in general, the treatment is selected individually in each case, depending on the severity of the symptom.
The researchers found that a predisposition to a disease such as cyclothymia, is inherited. Therefore, if a woman (mother or grandmother) has suffered from this ailment in the family, it is likely that the woman will also come across him.
Nevertheless, scientists still can not find any organic causes of the development of the disease. And although in some cases the onset of the disease can be triggered by a stressful situation, nevertheless, there are also cases when the disorder occurs without any provoking factor.
A favorable breeding ground for the development of this form of manic-depressive disorder is the incorrect upbringing of the child in the family. If the child was subjected to humiliation, if the parents did not have a general strategy of upbringing, and one of them imposed his own value system on him, and the other — his own, or if the criticism in the family prevailed over the incentives, all this could provoke the grown man’s development of such a disorder as Cyclothymia. In addition, the disease is often found in people who suffer from the instability of the emotional sphere due to the hyperactivity of cortisol.
In modern medical practice, there is a special test that allows to determine a person’s predisposition to such a mental disorder as cyclothymia. This test, people who assume the presence of this form of bipolar disorder, can go by themselves, finding it on the Internet, or to contact a psychologist and together with him to take the test and interpret its results. Also, this test allows doctors to determine the extent of such a disorder as cyclothymia, and hence this will help in future to prescribe adequate treatment.
Mandatory components of this psychological disorder is the presence of periods of recession and elevation of mood. The disease is characterized by cyclicity, and often not only emotional, but also other areas are affected. So, if a woman has cyclothymia, the symptoms can be the following:
- mood swings;
- Lack of appetite or a strong desire to eat a lot;
- self-doubt, replaced by self-confidence to the highest degree
- sociability and hyperdynamics, which are replaced by closeness and hypodynamia
Of course, the symptoms depend on the phase of the disease. Therefore, if at the time of going to the doctor a person has a manic phase, the symptoms will be one, and during the depressive phase, others will be. Therefore, we should consider each phase separately.
Manic is characterized by three symptoms:
- increased activity
- psychomotor agitation.
At this stage of the disease people feel the ability to do great things, they are excited and mobile. At times, they can be aggressive if they are not listened to or are trying to calm down. During the course of this phase, the speech of a sick person is fast, it easily switches from one topic to another. He can not concentrate on the fulfillment of a certain task, so he grabs at several things at once, but, as a rule, they get him bored quickly, so he does not finish anything.
There is no fatigue in this phase of the disease — people can move for hours and they do not need rest. However, it is serious that in the euphoric phase people do not understand that they are sick and something is wrong with them, that’s why all attempts to calm or take such a person to the doctor are hopeless and can only provoke aggression on his part.
If we talk about the depressive phase of a disorder such as cyclothymia, then it comes just as suddenly as euphoria has come. Without any reason, a person becomes withdrawn, sullen, taciturn, although only recently he sought to conquer all the peaks. Symptoms of the depressive phase depend on the stage of the disease. On the initial person experiences problems with a dream. He can have either insomnia, or his dreams are exhausting, with frightening dreams, because of which a person does not get a good sleep.
As a consequence of poor sleep, there are signs of a depressive phase of the disorder, like:
- decreased appetite
- gloomy thoughts
In this phase, a person experiences an incomprehensible inner tension and develops various fears, mostly unmotivated. But since outwardly a person is inhibited, his inner anxiety can not be manifested, although in his head and heart he suffers extremely. This phase of the disease at the height of the danger is dangerous because people have thoughts about self-blame or self-destruction. People think about the meaning of existence, and consider their life meaningless. It is this that can push a person to suicide, so in this condition the patient needs urgent treatment.
Features of diagnosis and treatment
As mentioned above, the diagnosis is made on the basis of complaints of the patient or his relatives, and also based on a preliminary survey. Also in diagnostics, a special test, which allows us to establish not only the phase of the disease, but also the severity of the symptoms, is essential.
Treatment is carried out in a hospital if the person is in an acute depressive phase. In cases of moderate or mild illness, treatment can be outpatient. Usually people are prescribed antidepressants, lithium drugs and normotonics (drugs that normalize the mood, which includes such a drug as Finlepsin). Finlepsin in modern psychic practice has found wide application. This drug is capable of eliminating anxiety-convulsant addictions, but in cases with severe depression its effect should be strengthened by antidepressants. It is important that Finlepsin does not adapt to depression, as happens with antidepressants, which means that it does not need to be replaced with another medicine. Yes, and side effects Finplexin does not, in contrast to other normotonics, therefore it is easier for people to transfer.
In severe cases, Finlepsin, antidepressants (individually selected), tranquilizers and lithium preparations are injected intravenously into the patient, which allows him to stabilize his condition faster. An obligatory condition for recovery is not only the use of AD and normotonics, such as Finlepsin, but also treatment by a psychiatrist. Psychotherapy gives a person confidence that everything will be fine, even if everything is bad now. It allows him to feel safe, and also learns to cope with mood swings.
Treatment with light is an excellent remedy for depression, so patients with such a disorder as cyclothymia it is shown at any time of the year. For treatment to be effective, it is important to draw up a special scheme for each patient, consisting of a combination of different drugs that are most appropriate to its symptoms and stage of the disease. In this case, many patients become better in a month, because of what they prefer to refuse further treatment — do not do this, because to obtain a stable result, treatment should last at least six months.